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HomeMy WebLinkAboutBuilding Miscellaneous 2013-10-3 • of:111 ; ,. . SPRINGFIELD LUEILDING EUGENE �o NTY ( ` DfPAf2TMENT, LLC_ / • OREGON r J , 'Exterior Wall Envelope Self-Certification Form V 1, a R N B r , am the general contractor or the owner-builder at the following address: • • _ • Street Address (( 1 , City " Qn p V l"1-`'Z k "in 9( ::-e )11 CD Permit# To conform to the 2008 Oregon Residential Specialty Code (ORSC), Section • R703.1.1, I am notifying the building official that I am aware of the exterior wall envelope requirements cif R703.1.1, and hereby certify that the components of the exterior wall envelope have been installed in accordance with the code requirements. [Section R703.1.1 is provided for reference on the reverse side of this form.] • Signatur /0p-3- /3 Date • Revised: 2/8/2010 4 SPRINGFIELD _-n•-•• Ctmor RRINGFIELDtOREGONS -. . r r DEVELOPMENT SERVICES DEPARTMENT S gL.f, 225 FIFTH STREE \ SPRINGFIELD,OR 97477 PHONE (541)726-3753 FAX (541)726-3689 • Iwrw.ci.springfield.or us HIGH-EFFICIENCY LIGHTING SYSTEMS OREGON RESIDENTIAL SPECIALTY CODE (ORSC) • Permit No.: U °e� ?Ir �� , `t Oft mit urisdiction L, viyfhk�, E, 4 V+ v •' `,1 b '. tor^ Site Address: 0ten e%o Klyk A r bitty t 9 ,cv t��} �hh Subdivision/Lot: 0) VIA t& t and/or �. ..•.✓ — - Map and Tax Lot: 0`� rlq !lrf By my signature below, I certify that a minimum of❑ fly-(SOj pe ent, *❑ seventy-five (75) percent, of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2)1 * Check the 75% box if the additional measure selected to comply with ORSC N1101.1 and Table N1101.1(2) requires 75% of lighting fixtures to have energy efficient lamps. Signed: Date: Owner/General Contractor/Authorized Agent Print / ,. Name: IZettets. All • Contractor's CCB # nlJtfi �d�h-v Expiration Date: 1 ORSC Section N1107.2. High-Efficiency Lighting Systems. A minimum of fifty(50)percent of the permanently installed lighting fixtures, seventy-five(75%)percent,if the selected additional energy code measures in the Table NI 101.1(2)requires greater lighting efficiency, shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw-in compact fluorescent lamps comply with this requirement. it lding official shall be notified in writing at the final inspection that a minimum of the required percentage of the `nt y installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. nciency Inter.doc •